Caromont Medical Group, Inc.
Organization Active NPI Family Medicine Physician · Belmont, NC
NPI 1952936767 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1952936767
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CAROMONT MEDICAL GROUP, INC.
- Practice address
- 1223 Spruce St
Belmont, NC 28012-3371 - Phone
- (980) 834-8800
- Fax
- (980) 834-9879
- NPI assigned
- Mar 12, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- CAROMONT MEDICAL GROUP INC
Authorized official
- Name
- David Michael Oconnor
- Title
- Cfo
- Phone
- (704) 671-5343
Practitioners 10
-
Elliott Bradley Courter, D.O.
-
Amber Dean Kagen, PA-C
-
Tonya Coleman Lane, FNP-C
-
Kathryn Dare McCurry, PA-C
-
Dustin Lee Wood, MSN, APRN, FNP-C
-
Marisa Hamlin, PA-C
-
David Miles O'Briant, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2184253 | Caromont Urgent Care - Belmont | Certificate of waiver | May 17, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031201000070 | NC | Part B Supplier - Clinic/Group Practice | 3577476258 |
Receives reassigned benefits from 760 practitioners This NPI is an additional NPI on the enrollment Practice locations: Gastonia, NC; Kings Mountain, NC; Lenoir, NC; McAdenville, NC; Morganton, NC; Shelby, NC; Stanley, NC; Belmont, NC… |
National Provider Directory
- Part of
- Gaston Health Resources
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1223 Spruce St
Belmont, NC 28012-3371
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02GHA | Other | NC | BCBS OF NC |
| 1952936767 | Medicaid | NC |
Other names
- CaroMont Urgent Care
Other providers in Belmont, NC
- Caromont Medical Group Inc
- Caromont Medical Group Inc
- Caromont Medical Group Inc
- Caromont Medical Group Inc
- Caromont Medical Group, Inc.
- Caromont Partners LLC
- Caromont- South Point LLC
- Caromont- South Point LLC
- Margaret Carpenter
- Jennifer Carrick
All providers in Belmont, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.